NHS COVID Pass - Vaccinated

2D barcode expiry 5 May 2023

Name
Marcos Emiliano Marchesoni To protect your data privacy the 2D barcode
Please check against
expires on the stated expiry date. Please
the bearer's identity. generate a new COVID-19 Pass to renew the
Date of birth
barcode.
05 September 1978

Pfizer/BioNTech COVID-19 vaccine [Booster]

Dose 3 of 3
Date of vaccination 27 December 2021
Vaccine product Comirnaty
Manufacturer Biontech Manufacturing GmbH
Vaccine SARS-CoV-2 mRNA Vaccine
Batch number FN3543
Disease targeted COVID-19
Country of vaccination GB
Issuer NHS Digital
Administering Centre ROYAL DERBY HOSPITAL

This document is important. Keep it safe. It is a PDF copy of your vaccination records.

Page: 1 of 3

Find out about COVID-19 symptoms, testing, vaccination and self-isolation on the NHS website: www.nhs.uk/conditions/coronavirus-covid-19

Data Protection: The Department for Health and Social Care (DHSC) is the Data Controller and is responsible for processing your personal data for the purposes of the NHS COVID
Pass Programme. To find out more you can access the DHSC Privacy Notice at: www.gov.uk/government/publications/dhsc-privacy-notice. The NHS COVID Pass Privacy
Notice is available within the guidance at: www.gov.uk/guidance/demonstrating-your-covid-19-status
NHS COVID Pass - Vaccinated

2D barcode expiry 5 May 2023

Name
Marcos Emiliano Marchesoni To protect your data privacy the 2D barcode
Please check against
expires on the stated expiry date. Please
the bearer's identity. generate a new COVID-19 Pass to renew the
Date of birth
barcode.
05 September 1978

Pfizer/BioNTech COVID-19 vaccine

Dose 2 of 2
Date of vaccination 11 August 2021
Vaccine product Comirnaty
Manufacturer Biontech Manufacturing GmbH
Vaccine SARS-CoV-2 mRNA Vaccine
Batch number FE3380
Disease targeted COVID-19
Country of vaccination GB
Issuer NHS Digital
Administering Centre REEDS PHARMACY - COVID LOCAL VACCINATION SERVICE

This document is important. Keep it safe. It is a PDF copy of your vaccination records.

Page: 2 of 3

Find out about COVID-19 symptoms, testing, vaccination and self-isolation on the NHS website: www.nhs.uk/conditions/coronavirus-covid-19

Data Protection: The Department for Health and Social Care (DHSC) is the Data Controller and is responsible for processing your personal data for the purposes of the NHS COVID
Pass Programme. To find out more you can access the DHSC Privacy Notice at: www.gov.uk/government/publications/dhsc-privacy-notice. The NHS COVID Pass Privacy
Notice is available within the guidance at: www.gov.uk/guidance/demonstrating-your-covid-19-status
NHS COVID Pass - Vaccinated

2D barcode expiry 5 May 2023

Name
Marcos Emiliano Marchesoni To protect your data privacy the 2D barcode
Please check against
expires on the stated expiry date. Please
the bearer's identity. generate a new COVID-19 Pass to renew the
Date of birth
barcode.
05 September 1978

Pfizer/BioNTech COVID-19 vaccine

Dose 1 of 2
Date of vaccination 9 June 2021
Vaccine product Comirnaty
Manufacturer Biontech Manufacturing GmbH
Vaccine SARS-CoV-2 mRNA Vaccine
Batch number ET8885
Disease targeted COVID-19
Country of vaccination GB
Issuer NHS Digital
Administering Centre REEDS PHARMACY - COVID LOCAL VACCINATION SERVICE

This document is important. Keep it safe. It is a PDF copy of your vaccination records.

Page: 3 of 3

Find out about COVID-19 symptoms, testing, vaccination and self-isolation on the NHS website: www.nhs.uk/conditions/coronavirus-covid-19

Data Protection: The Department for Health and Social Care (DHSC) is the Data Controller and is responsible for processing your personal data for the purposes of the NHS COVID
Pass Programme. To find out more you can access the DHSC Privacy Notice at: www.gov.uk/government/publications/dhsc-privacy-notice. The NHS COVID Pass Privacy
Notice is available within the guidance at: www.gov.uk/guidance/demonstrating-your-covid-19-status